Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT AHLSTROM
ActiveSCOTT AHLSTROM is a Medical Physician Assistant healthcare provider located in KENILWORTH, Illinois. NPI 1538628938 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · KENILWORTH, IL
Registration Details
- NPI Number
- 1538628938
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2019 (7.4405760706006 yrs)
- Last Updated
- Mar 15, 2019
Practice Information
- Address
-
534 GREEN BAY RDKENILWORTH, IL, 600431801Browse IL providers · Browse ZIP 60043
- Phone
- 8472565505
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.